Kiessling and Associates Psychological Group

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW004543 Issued in MO

Legal business name

KIESSLING AND ASSOCIATES PSYCHOLOGICAL GROUP

Practice address

1108 W Stewart Rd
Columbia, MO 65203-2206

Phone

(573) 418-4730

NPI assigned

Nov 6, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katelyn S McCoy, BSA

Title

Chief Financial Officer

Phone

(573) 418-4730

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1043649403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6907",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652055008",
            "telephone_number": "573-418-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W STEWART RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032206",
            "telephone_number": "573-418-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIESSLING AND ASSOCIATES PSYCHOLOGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "573-418-4730",
        "authorized_official_credential": "BSA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2006005023",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW004543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radwan Faris Khozouz, M.D.
• Rula I Khreis, MD
• Jasmit Kaur Khurana, RPH
• Rachael K Kibble, LCSW
• Rachel Natalya-Murphy Kibby, DO
• Matthew Kigin, MD
• Briana Kathleen Kile, FNP
• Kilgore Inc
• Kilgore Inc
• Kilgore Inc

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.